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Why Do So Many People Only Need 1 Treatment with Zeltiq? Can You Explain The Percentage of Fat Lost?

I've read everything I can but I am confused. If I hate 100% of my love handles and belly fat enough to have Zeltiq done a 20-40% loss seems like I'd need multiple sessions. Or is it that 20-40% of the fat cells are destroyed but actual loss is more significant? I fit the profile perfectly and have always been naturally thin, never had to diet etc but now at 45 Ive got this muffin top I want gone, not 20-40% gone. Am I making sense. Maybe I don't understand what 20% looks like? Thanks!!

Doctor Answers 6

Fat reduction with CoolSculpting

I agree its difficult to explain what a 20-25% fat reduction looks like but to get a better idea I would suggest that you visit a local CoolSculpting expert and have them show you what their results are after one treatment and then you will have some mental picture of what that translates to.  Most patients that I have treated that are good candidates are satisfied with one treatment.  The number of treatments required by the patient is mostly determined by the baseline size of the bulge and the patient's expectation and tolerance for their bulge.  If you are as you indicate relatively trim                      with only a small bulge than one treatment may indeed be sufficient. 


Long Island Dermatologist
5.0 out of 5 stars 3 reviews

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20% decrease of fat with Coolsculpting

Thank you for your question.

Yes, it is difficult to picture 20% decrease... On average, a patient will normally need 2 treatments on the same area to be happy with the results. Imagine that you have 2 treatments on your love handles.. 8 weeks after the 2nd treatment you should see that the area is less by 50% or so... meaning is 1/2 as bulky as when you started.

It might be a good idea to go in and speak with a doctor so that you are clear on how things work and what type of results to expect.  My patients are loving this procedure!

Best Wishes!

CoolSculpting Creates Noticeable Results with Only One Treatment

It can be difficult to picture what a 20% reduction in fat cells will look like! A healthy body requires a certain amount of fat and so hoping to remove 100% of the fat from any area of the body is just not a possibility. It's not healthy, it's not aesthetically pleasing, and it's not possible. That might be what's leading to some of your confusion about the 20% figure many studies and doctors talk about.

Many patients find that one session of CoolSculpting achieves the result they want, while others find best results for their goals after two sessions. You should consult with a CoolSculpting expert in order to get a good idea of how many areas will need to be treated and how many sessions will be required in order to achieve the result you want.

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Zeltiq Treatment

Thank you for your question. When you have your CoolSculpting treatment, the affected fat cells will be eliminated. As long as you maintain your weight with your normal diet and exercise, your long-term results should remain stable. This is why most patients only need one treatment. 

Coolsculpting love handles

We tell most of our patients to expect two sequential treatments at least 2 months apart. However the great majority of patients are satisfied with one treatment. This procedure works great in correctly selected patients.

Steven Hacker, MD
West Palm Beach Dermatologic Surgeon
5.0 out of 5 stars 4 reviews

CoolSculpting and fat loss

I can understand your confusion. It sounds that you are an ideal candidate for liposuction. If you have a localized bulge of significant fat, the liposuction procedure is the most effective procedure with which to remove the fat. If your fat were just a small thickness, then it wouldn't warrant the risks of liposuction on thin areas. You might need multiple treatments with CoolSculpting to reduce enough of the fat volume to make you satisfied. 20% of fat loss at four months is the average result but that means that some patients in the study got less than 20% while others got better than 20%!

Ronald Shelton, MD
Manhattan Dermatologist
5.0 out of 5 stars 33 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.